评估中国医疗保健系统的效率,区域技术异质性和总因素生产率变化的决定因素
Xiaowei Xu1, Rizwana Yasmeen2, Wasi Ul Hassan Shah3
1Physical, Aesthetic, and Labor Education Centre, Zhejiang Shuren University, Hangzhou, China.
Scientific reports
|August 23, 2024
概括
中国中国中国中国.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 卫生经济学 卫生经济学
- 计量经济学 计量经济学
背景情况:
- 提高医疗保健系统的效率和生产力是全球必不可少的.
- 中国政府已经进行了大量投资,以加强其国家医疗保健系统.
- 评估这些投资的影响对于未来的政策制定至关重要.
研究的目的:
- 评估中国医疗保健系统从1997年到2022年的效率和生产率变化.
- 分析医疗保健效率和技术进步方面的区域差异.
- 确定中国医疗保健行业总因素生产率变化的关键驱动因素.
主要方法:
- 数据包围分析 (DEA) 使用Slack-Based Model (SBM) 和元边界分析.
- 马尔姆奎斯特生产率指数 (MI) 用于评估生产率变化.
- 克鲁斯卡尔-瓦利斯测试用于比较区域差异.
主要成果:
- 中国医疗保健系统的平均运营效率得分为0.7672,表明23.28%的增长潜力.
- 东部地区表现出最高的效率 (0.86917) 和技术差距比率 (0.9909).
- 总因子生产率 (TFP) 每年增长0.33%,主要是由于技术进步的效率变化.
结论:
- 在整个中国的医疗保健系统效率和生产率上存在显著的区域差异.
- 东部地区在效率和技术成就方面处于领先地位,而西部地区的TFP增长率更高.
- 政策干预应考虑区域特点,以进一步优化医疗保健提供和资源分配.
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